FORM Applicant Details Full name Email address Phone number Student type Please select Lepasan SPM Lepasan Matrix Lepasan Diploma International / Foreign Student Programme Prefered First Choice Please select Master in Life Science Bachelor of Occupational Safety and Health (Hons) Bachelor in Biomedical Science (Hons) Diploma in Medical Laboratory Technology Diploma in Medical Imaging Diploma in Physiotherapy Diploma in Nursing Diploma in Environmental Health Second choice Please select Master in Life Science Bachelor of Occupational Safety and Health (Hons) Bachelor in Biomedical Science (Hons) Diploma in Medical Laboratory Technology Diploma in Medical Imaging Diploma in Physiotherapy Diploma in Nursing Diploma in Environmental Health Documentation Upload your result (SPM/STPM/STAM/Diploma/Degree) By submitting this form, you agree to the Universiti Selangor privacy notice. Submit Application